Patient Access Specialist - PRN

Ensemble Health Partners • Richmond, VA

7d • Onsite

About The Position

The Patient Access Specialist performs admitting and patient access duties for hospital patients while meeting organizational goals, policies, and regulatory requirements. The role includes pre-registration, collecting and verifying patient and insurance information, processing physician orders, explaining forms and patient instructions, and collecting point-of-service payments and past-due balances. The specialist supports accurate billing and clean claims by reviewing eligibility responses, entering benefit information, and screening medical necessity. The role also includes customer service by phone and in person, account auditing and reporting, and distribution and documentation of required patient forms. This is an onsite position at Bon Secours - St Francis Medical Center in Midlothian, Virginia. It is described as PRN and pays $17.00–$18.15, based on experience.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction for patients and clients.
• CRCR certification required within 9 months of hire; company paid.

Responsibilities

• Perform admitting duties for patients receiving hospital services while complying with organizational policies, mission, goals, and regulatory requirements.
• Assign accurate medical record numbers (MRNs), complete medical necessity and compliance checks, provide patient instructions, collect insurance information, receive and process physician orders, and use an overlay tool.
• Provide excellent customer service, including operating the telephone switchboard to relay incoming, outgoing, and inter-office calls with appropriate compassion.
• Meet assigned point-of-service goals and collect point-of-service payments and past-due balances, including discussing payment plan options.
• Use quality auditing and reporting systems to identify and correct account issues, including accounts associated with other employees, departments, or facilities.
• Audit accounts, ensure forms are completed accurately and on time, and provide statistical data to Patient Access leadership.
• Pre-register patient accounts, including making inbound and outbound calls to obtain demographic, insurance, and other patient information.
• Explain general consent for treatment forms, obtain required signatures and witness names, and explain and distribute patient education documents and required forms.
• Review insurance eligibility responses, select the applicable insurance plan code, and enter benefit data to support collections and billing processes.
• Screen medical necessity using Advanced Beneficiary Notice (ABN) software, inform Medicare patients of potential non-payment for tests, and distribute ABNs as appropriate.
• Distribute and document other designated forms and pamphlets.

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Professional development and career advancement
• Quarterly and annual incentive programs

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED